Individual
DR. HYUNMIN MIKE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 VIRGINIA AVE, COLUMBIA, MO 65212-0001
(573) 882-2663
(573) 882-1760
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2019034593
MO
207X00000X
Orthopaedic Surgery Physician
MD446327
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102756383
—
PA
Enumeration date
02/22/2010
Last updated
09/02/2022
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